Healthcare Provider Details

I. General information

NPI: 1871840744
Provider Name (Legal Business Name): ALYSIA RHAE BAKER M.S., P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2012
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 W NORTHWEST HWY
BARRINGTON IL
60010-2640
US

IV. Provider business mailing address

815 N LARKIN AVE SUITE 100
JOLIET IL
60435-3438
US

V. Phone/Fax

Practice location:
  • Phone: 847-857-6511
  • Fax: 224-397-6248
Mailing address:
  • Phone: 815-730-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070010027
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: